Lewis, Michael Bateman
Lewis, Michael Bateman is an individual health care provider with primary practice located at 55 Fruit St Wrn 11, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Lewis, Michael Bateman can be contacted via phone (617) 726-0376.Contact Information
Primary practice address
55 Fruit St Wrn 11
Boston MA 02114-2621
Phone: (617) 726-0376
Fax: (617) 726-5057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 29674 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29674 | Massachusetts |
Profile Details
| NPI number | 1447240015 |
|---|---|
| LBN Legal business name | Lewis, Michael Bateman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447240015 | NPPES |
| Massachusetts | Other | 029674 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2014521 | TUFTS HEALTH PLAN |
| Massachusetts | Other | M08459 | TUFTS HEALTH PLAN |
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